A single year
People are not diabetic for a single year.
https://pubmed.ncbi.nlm.nih.gov/25147254/#:~:text=Results%3A….
The discounted excess lifetime medical spending for people with diabetes was $124,600 ($211,400 if not discounted), $91,200 ($135,600), $53,800 ($70,200), and $35,900 ($43,900) when diagnosed with diabetes at ages 40, 50, 60, and 65 years, respectively.
The delta* you need to break even, just for diabetes, is 26 months if we focus on just the 65 cohort. Adding in other medical expenses and that number only goes up. Of course, that is only looking at Medicare and not Medicaid…
https://journals.lww.com/lww-medicalcare/fulltext/2017/07000….
For poverty-based Medicaid enrollees, estimated annual diabetes-related total medical expenditure was $9046 per person [$3681 (no diabetes) vs. $12,727 (diabetes); P<0001], of which 41.7%, 34.0%, and 24.3% were accounted for by prescription drugs, outpatient, and inpatient care, respectively.
Those individuals are not coming anywhere close to paying enough into Social Security to offset even their just their annual diabetes expenses.
*SS has the average benefit for March 2022 as $1537, not $1657 - but used your amount anyway.